<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" data-rule="required" class="form-control" name="row[name]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('One')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-one" data-rule="required" class="form-control" name="row[one]" type="number" value="0">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Two')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-two" data-rule="required" class="form-control" name="row[two]" type="number" value="0">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Three')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-three" data-rule="required" class="form-control" name="row[three]" type="number" value="0">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_deduct')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-is_deduct" data-rule="required" class="form-control" name="row[is_deduct]" type="number" value="0">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
